| NPI | 1386579183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MICHELLE SHORES Clinical Director/Owner 505-228-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-07-14 |